Good morning, Mr. Chairman, Ranking Member and members of the Subcommittee.
On behalf of VVA National President John Rowan and all of our officers
and members we thank you for the opportunity for Vietnam Veterans
of America (VVA) to appear here today to share our views regarding
Media Outreach to Veterans. We thank you for your leadership on this
all important issue of vital importance to veterans of every generation.
I will briefly summarize the most important points of our statement.
It is a truism, but is none the less true that denial of knowledge
of veterans’ benefits, health issues, and available medical
care is tantamount to denying said health care, benefits, and services.
This is the situation that all too many veterans find themselves
today, and they are not even aware of it.
Vietnam Veterans of America (VVA) estimates that the majority of
those in-country Vietnam veterans who have had prostate cancer and
died, are battling prostate cancer today, or who have battled prostate
cancer and are still surviving have no clue that it is related to
their service in Southeast Asia during the war. Since about 80% of
veterans do not go anywhere near a VA medical facility, and the majority
of veterans do not belong to any veterans group, and the VA does
virtually nothing to educate them and their civilian medical providers
that prostate cancer is service connected presumptive at VA and that
we are twice as likely to get prostate cancer as those who did not
serve in SE Asia, this fact is not surprising.
Some may ask “what is the big deal about that?” Well,
what it means for those veterans who get very sick and die is that
often their families are left with enormous and crushing medical
bills that endanger the retention of the home. Instead of VA paying
for something that should be treated as service connected, and the
veteran receiving compensation while he is too sick to work and the
widow receiving dependency & Indemnity Compensation (DIC) if
he dies, the widow and family are left with nothing but debts and
in dire financial straights. This is just so wrong on every level.
It is egregious that this situation is allowed to continue. Yet VA
has done nothing about it, despite the fact that VVA has repeatedly
used this example with the current and previous top leadership of
VA, to no avail.
This is only one example that is specific to Vietnam veterans, but
similar situations exist for the veterans of very generation, whether
it be cold injuries and parasites endemic to the Korea, or the diseases,
parasites, and extreme environmental exposures of Gulf War I veterans.
Part of the problem is a mind set of the VA that says “we
do not have the resources to do anything new, so we will just deal
with the overt presentations of those who happen to come to us” and
can get into the system in the first place. As the distinguished
Members of this panel know, as many as a million veterans have been
denied entry into the VA since January of 2003 when a “temporary” hiatus
was put into effect regarding accepting veterans who are not indigent
or service connected. This has had a “chilling” effect
on others who do not even try to gain entry.
Further, even within the VA the tools that exist are not used to
full effect. An example is the “Veterans Health Initiative” (VHI)
curricula that is a series of reasonably well done curricula (about
26 at last count) that are designed to teach clinicians and medical
professionals about the wounds, illnesses, conditions, and maladies
that stem from military service depending on what branch did one
serve, when did on serve, where did one serve and when, what was
your military occupational specialty (M.O.S.), and what actually
happened to you in military service. These curricula range from “Caring
for War Wounded” which is designed for ALL primary care physicians,
to Military Sexual Trauma, to Cold Injuries, to Traumatic Brain Injuries.
I have here a sampling of these curricula that are available at HYPERLINK "http://www.va.gov/vhi" www.va.gov/vhi
to anyone at the VA or in the civilian medical world, or to veterans.
However, this is one of the best kept secrets at VA.
Another well kept secret at VA is the existence of Military History
cards that have a series of basic questions that should be asked
of every veteran seeking services at the VA and used in the diagnosis
and treatment protocols. As a matter of fact, it has been a requirement
in Veterans Health Administration regulation to take a military history
for each veteran since 1982….but they don’t do it as
a matter of course. (See HYPERLINK "http://www.va.gov/oaa/pocketcard/" www.va.gov/oaa/pocketcard/
or attachment # 1).
VVA has been promised regularly by everyone from the VHA computer
people to four different Undersecretaries of Health to three successive
Secretaries of Veterans affairs to the Chief of Patient Care Services
to others that the VA will move to make the military history part
of the automated patient treatment record. These have all proven
thus far to be “pie crust promises,” which are of course “promises” that
are easily and facilely made….and easily broken. Were the
existence of the VHI curricula known to all VA clinicians, and the
military history part of the computerized patient treatment records
then there could be proper clinical reminders based on a decision
tree. To test for possible exposures and maladies/conditions/exposures
that may stem from the nature of that individual veteran’s
service. This will educate VA’s own clinicians in the wounds,
maladies, conditions, and injuries of war who in turn will better
educate the veterans whom they serve. Frankly the most credible outreach
means available to reach and educate veterans is other veterans.
Veterans will believe another vet long before they will believe a
press release or a slick VA brochure.
How do you reach the average veteran when most do not have any contact
with the VA nor do they belong to any veterans’ organization
(except maybe a unit association which rarely even talks about benefits
and health care)? All of this leads to the conclusion that the only
ways to reach most veterans, and their families, is through the general
media. That would include traditional media such as newspaper articles,
radio, television. It also must today include FaceBook, Vets4Vets,
YouTube, etc. and other modalities employing the medium of the Internet.
But most of all it must be a stance of telling the unvarnished truth,
and not the current stream of only self-congratulatory and/or defensive
pronouncements. VA officials must “get it” before they
can possibly hope to communicate effectively with individual veterans
given the baggage of so much bad past history.
As the Members of this panel are also no doubt aware, VVA joined
with the Honorable Ted Strickland (then a Member of this distinguished
panel) and the Georgetown Center for Law and the Public Interest
to sue VA over the now infamous VHA memo in August of 2003 that curtailed
all marketing and publicity of available medical services by VA.
What you may not be aware of is that we won that suit. The Federal
Court gave VVA standing to bring the suit on behalf of our members,
and ruled that VVA was correct that the Secretary of Veterans Affairs
was compelled under Title 38 to exercise an affirmative responsibility
to ensure that all veterans were informed of the rights, benefits,
and medical services due to them by virtue of serving in the United
States Armed Forces.
It was no accident that the theme of the 75th Anniversary of the
VA was outreach to every living veteran to inform each of what services
were available to them by virtue of their military service. It was
in response to the order of the Federal Court. Of course, I need
not tell the members of this panel that it is debatable whether the
lofty stated goal was seriously pursued during that 12 to 15 month
period. It was not, at least not in the view of VVA.
So where does that leave us today? VVA does support any and all
of the good things that VA tries to do, such as the public service
announcement about the Suicide Hotline (which VVA put on our home
page the same day it was suggested), distribution of VVA materials
ranging from videos, to bumper stickers, to brochures, to whatever
is not a “puff piece” that is available from the VA.
There is of course a constant stream (if indeed not a torrent) of
self laudatory press releases that emanates from the VA. Because
it is generally so patently self serving and not “the rest
of the story” as Paul Harvey would say it is taken less and
less seriously by anyone who follows this stuff, particularly the
VVA is in the process of launching our own effort in association
with organizations in the civilian sector to inform non-VA clinicians
as to the wounds, maladies, conditions, and wounds of war as a way
of educating the clinicians who see the majority of veterans. Since
we have virtually given up on trying to convince the current VA leadership
(both at the permanent top civil service level as well as the political
level) to make VA what it was always intended to be” a “veterans’ health
care system” and not a general health care system that happens
to be for veterans, and on them doing anything meaningful or consistent
in regard to educating the public or most veterans, we have, of necessity,
embarked on a years long major effort to go around them in order
to get the job done properly
Mr. Chairman, I again thank you for the opportunity to appear here
today, and hope our remarks will prove helpful to you and your colleagues.
I will be happy to answer any questions you or your colleagues may
RICHARD “Rick” WEIDMAN
Richard F. “Rick” Weidman serves as Director of Government
Relations on the National Staff of Vietnam Veterans of America. As
such, he is the primary spokesperson for VVA in Washington. He served
as a 1-A-O Army Medical Corpsman during the Vietnam War, including
service with Company C, 23rd Med, AMERICAL Division, located in I
Corps of Vietnam in 1969.
Mr. Weidman was part of the staff of VVA from 1979 to 1987, serving
variously as Membership Service Director, Agency Liaison, and Director
of Government Relations. He left VVA to serve in the Administration
of Governor Mario M. Cuomo (NY) as statewide director of veterans’ employment & training
(State Veterans Programs Administrator) for the New York State Department
He has served as Consultant on Legislative Affairs to the National
Coalition for Homeless Veterans (NCHV), and served at various times
on the VA Readjustment Advisory Committee, the Secretary of Labor’s
Advisory Committee on Veterans Employment & Training, the President’s
Committee on Employment of Persons with Disabilities - Subcommittee
on Disabled Veterans, Advisory Committee on veterans’ entrepreneurship
at the Small Business Administration, and numerous other advocacy
posts in veteran affairs.
Mr. Weidman was an instructor and administrator at Johnson State
College (Vermont) in the 1970s, where he was also active in community
and veterans affairs. He attended Colgate University (B.A., (1967),
and did graduate study at the University of Vermont.
He is married and has four children.
VIETNAM VETERANS OF AMERICAPRIVATE
September 23, 2008
The national organization Vietnam Veterans of America (VVA) is
a non-profit veterans' membership organization registered as a 501(c)
(19) with the Internal Revenue Service. VVA is also appropriately
registered with the Secretary of the Senate and the Clerk of the
House of Representatives in compliance with the Lobbying Disclosure
Act of 1995.
VVA is not currently in receipt of any federal grant or contract,
other than the routine allocation of office space and associated
resources in VA Regional Offices for outreach and direct services
through its Veterans Benefits Program (Service Representatives).
This is also true of the previous two fiscal years.
For Further Information, Contact:
Director of Government Relations
Vietnam Veterans of America.
(301) 585-4000 extension 127